Individual
KATHRYN ANN AGAMAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2017020622
MO
208800000X
Urology Physician
Primary
19811
ND
208800000X
Urology Physician
75194
MN
Other
Enumeration date
06/20/2017
Last updated
09/13/2023
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